左星状神经节阻滞治疗顽固性室性心律失常伴乌头碱中毒1例。

IF 0.5 A&A Practice Pub Date : 2023-02-01 DOI:10.1213/XAA.0000000000001666

Yasuko Ichikawa, Shinsaku Matsumoto, Waso Fujinaka, Makoto Takatori, Kenji Nishioka, Akira Namera

{"title":"左星状神经节阻滞治疗顽固性室性心律失常伴乌头碱中毒1例。","authors":"Yasuko Ichikawa, Shinsaku Matsumoto, Waso Fujinaka, Makoto Takatori, Kenji Nishioka, Akira Namera","doi":"10.1213/XAA.0000000000001666","DOIUrl":null,"url":null,"abstract":"Aconitine poisoning causes refractory ventricular arrhythmias (VAs). In a 20-year-old man, VAs of unknown etiology did not respond to drugs and electrical defibrillation. However, left stellate ganglion blockade (SGB) dramatically decreased arrhythmias without complications. At a later date, we found that refractory VAs were caused by aconitine poisoning. Left SGB is effective for treating refractory VAs with aconitine poisoning and can be easily performed with few complications for VAs of unknown etiology even if patients are receiving anticoagulant therapy. Also, left SGB can be performed to diagnose refractory VAs.","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":"17 2","pages":"e01666"},"PeriodicalIF":0.5000,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Left Stellate Ganglion Blockade for Refractory Ventricular Arrhythmias With Aconitine Poisoning: A Case Report.\",\"authors\":\"Yasuko Ichikawa, Shinsaku Matsumoto, Waso Fujinaka, Makoto Takatori, Kenji Nishioka, Akira Namera\",\"doi\":\"10.1213/XAA.0000000000001666\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Aconitine poisoning causes refractory ventricular arrhythmias (VAs). In a 20-year-old man, VAs of unknown etiology did not respond to drugs and electrical defibrillation. However, left stellate ganglion blockade (SGB) dramatically decreased arrhythmias without complications. At a later date, we found that refractory VAs were caused by aconitine poisoning. Left SGB is effective for treating refractory VAs with aconitine poisoning and can be easily performed with few complications for VAs of unknown etiology even if patients are receiving anticoagulant therapy. Also, left SGB can be performed to diagnose refractory VAs.\",\"PeriodicalId\":7307,\"journal\":{\"name\":\"A&A Practice\",\"volume\":\"17 2\",\"pages\":\"e01666\"},\"PeriodicalIF\":0.5000,\"publicationDate\":\"2023-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"A&A Practice\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1213/XAA.0000000000001666\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"A&A Practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1213/XAA.0000000000001666","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

摘要

乌头碱中毒引起难治性室性心律失常。在一名20岁男性患者中，原因不明的静脉导管对药物和电除颤没有反应。然而，左星状神经节阻滞(SGB)显著降低心律失常，无并发症。后来我们发现难治性VAs是由乌头碱中毒引起的。左侧SGB对于治疗难治性输尿管乌头碱中毒是有效的，对于病因不明的输尿管，即使患者正在接受抗凝治疗，也可以很容易地进行，并发症少。此外，左侧SGB也可用于诊断难治性静脉血栓。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

Left Stellate Ganglion Blockade for Refractory Ventricular Arrhythmias With Aconitine Poisoning: A Case Report.

Aconitine poisoning causes refractory ventricular arrhythmias (VAs). In a 20-year-old man, VAs of unknown etiology did not respond to drugs and electrical defibrillation. However, left stellate ganglion blockade (SGB) dramatically decreased arrhythmias without complications. At a later date, we found that refractory VAs were caused by aconitine poisoning. Left SGB is effective for treating refractory VAs with aconitine poisoning and can be easily performed with few complications for VAs of unknown etiology even if patients are receiving anticoagulant therapy. Also, left SGB can be performed to diagnose refractory VAs.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

A&A Practice ANESTHESIOLOGY-

自引率

0.00%

发文量

期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.